9.infeksi parasit dlm ikk 2012

8/11/2019 9.Infeksi Parasit Dlm IKK 2012

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Masalah kesehatan akibat

infeksi parasitdalam kedokteran komunitas

Silvia Fitrina Nasution


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Pangandaran, August 2005


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ngandaran, August 2005


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Kubangan ditepi pantaiSalinitas 3


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INTERMEDIATE HOST

Oncomelania sp


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20/53Alor, July 2006


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LYMPHATIC FILARIASIS


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Masalah Kesehatan dan

Lingkungan Hidup

Status kesehatan dipengaruhi oleh faktor :

Pelayanan Kesehatan

Status KesehatanPerilaku Lingkungan

Biologik

H.L. Bloem (1974)


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Perilaku hidup seseorang mempengaruhi

keseimbangan faktor lain yg berperan

dalam status kesehatan

Host

Environment

Agent

Host

Environment

Agent

Multiple caution of disease


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Pelayanan Kesehatan

Untuk mencegah berjalannya penyakit ke tahap yg

lebih lanjut, diperlukan pelayanan kesehatan yg

menyeluruh, melalui pendekatan :

1. Holistik (jasmani, mental, sosial)

2. Faktor lingkungan (home, environment, social care)

3. Pencegahan penyakit (Five level of prevention)

4. Pelayanan rujukan


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Five Level of Prevention

Health promotion & education

Rehabilitation

Special Protection

Early Diagnosis & prompt treatment

Disability limitation


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Masalah kesehatan lingkungan

Point of view

A. Diagnosis

B. InterventionC. Evaluation


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Diagnosis/EARLY DETECTION

Peran petugas KesLing

Langkah diagnosis masalah Kesehatan

komunitas termasuk Rapid diagnosis penyakit

Menentukan jenis & sumber masalah

kesehatan komunitas

Menentukan prioritas masalah kesehatan


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Intervention

Menentukan prioritas pemecahan masalah

kesehatan komunitas

Menentukan cara intervensi masalah

kesehatan komunitas

Menyusun rencana intervensi masalah

kesehatan komunitas

Menentukan faktor-faktor yg berperan &

perlu diperhatikan pd rencana intervensi


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Program evaluation

Problem solving cycle

Evaluation of Intervention


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CASE


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Rapid Assessment Parasit yg masih menjadi

masalah kesehatan di Indonesia

Vs


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WHY IDENTIFY PARASITES ?

for subsequent treatment

understanding epidemiology

implementation of control measures

fundamental research


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A DIAGNOSIS PROBLEM?

Traditionally diagnosis of infection

based on finding parasite

someparasites morphologically

indistinguishable

parasites hidden in various hosttissue

l l


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Traditional diagnosis of Malaria


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THE SOLUTION ?

Current laboratory techniques

not entirely satisfactory

Need trained staff, equipment,

slow throughput

Rapid molecular tests being

developed


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RAPID DIAGNOSIS

Rapid diagnosis of infection used as a screeningtool should meet some criteria :

High prevalence of the disease case

Cause significant morbidity or mortality

Effective therapy required

Early therapy result a significant effect to

prevent a chronic disease


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ANTIBODY based DIAGNOSIS

Disadvantagescannot distinguish past/ present

infectionscannot distinguish morphologically

similar parasites

expensive to develop significant

research prior to commercialization


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Antibody based Diagnosis

Advantages

rapid easy field based tests can bedeveloped

useful for both individual & mass

population screening


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Antigen Detection Test forMalaria & Filariasis


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CASE

Dari gambaran foto kejadian diatas, Rapid

assessment apa yang anda dapatkan ttg:

Perilaku ?

Biologik atau agent / vector of disease ?

Masalah lingkungan ?

Intervensi ?

Evaluasi ?


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9.infeksi parasit dlm ikk 2012

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